John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses several recent publications on Never Events in the NHS.COVID-19 and rising student numbers are affecting healthcare education, particularly access to clinical placements. As healthcare education is increasingly supported by technology and non-traditional teaching methods, educational experiences gained through clinical placement also require new approaches. This article explores and discusses the use of a simulated clinical placement for a dietetic student cohort. During this virtual placement, students were able to explore and experience a virtual clinical setting and immerse themselves in a placement experience. A vast range of virtual resources were linked to the online placement portal, including statutory and mandatory training, dietetic resources, patient journeys and interprofessional communication. Advantages of this approach include that all students experience a given situation, unlike in traditional placements where workloads, variety and engagement vary; there is also no risk to patient safety. The aim is to enhance the learning experience to create effective, efficient clinicians. This virtual placement for dietetics is part of a bigger project to develop and evaluate the use of a virtual placement framework in a range of professions. The concept of virtual placement may have been brought forward by the COVID-19 crisis but was inevitable with the move to more technology-enhanced learning tools.Emeritus Professor Alan Glasper, from the University of Southampton, discusses the issues raised by the recent government decision to make vaccination against the virus causing COVID-19 mandatory for care home staff.Cardiac surgery can be traumatic and stressful, and as a result many people experience psychological difficulties following treatment.
To assess the level of post-traumatic stress disorder (PTSD) 1 month after coronary artery bypass graft (CABG) surgery among Jordanian patients, and to examine the predictors of PTSD after 1 month.
A descriptive survey design was used.
149 patients participated in the study. Their mean age was 59 years (SD=10.2) and most were male (87%) and married (93%). Some 44% of patients had PTSD. Length of stay in hospital (c? (1)=6.598, &lt;0.05), and age (c? (1)=4.920, &lt;0.05), predicted the occurrence of PTSD after 1 month.
Nurses, who are usually in the frontline with patients, should consider using a robust tool and clinical interview to assess and evaluate the presence and the risks of PTSD to promote early detection and optimal management. Follow-up studies after 6 and 12 months would be beneficial.
Nurses, who are usually in the frontline with patients, should consider using a robust tool and clinical interview to assess and evaluate the presence and the risks of PTSD to promote early detection and optimal management. Follow-up studies after 6 and 12 months would be beneficial.The UK asthma mortality rate has risen by 33% over a decade. The national enquiry into 195 asthma-related deaths revealed that most of these deaths were preventable. The Asthma Discharge Care Bundle (ADCB) is recommended for use when discharging patients with an acute asthma attack and/or exacerbation.
To review the implementation of the British Thoracic Society (BTS) bundle in a teaching hospital.
A 12-month retrospective audit was conducted on 86 adult patients treated for asthma attacks.
The results of the audit indicated that the hospital has complied with the ADCB. In total, 85% of patients had their inhaler technique checked, but 62% of them were not provided with any written inhaler use instructions. The respiratory clinical nurse specialists were more compliant with most of the bundle statements than the medical team.
The findings highlighted the need for asthma education sessions for all health professionals with emphasis on record-keeping skills.
The findings highlighted the need for asthma education sessions for all health professionals with emphasis on record-keeping skills.The need to offer nutritional support to children and young people is commonplace for health professionals. This article explores the use and indication of nasogastric tubes (NGT) in children and young people, before explaining the process of inserting NGTs and the ongoing management of this method of nutritional support.Sam Foster, Chief Nurse, Oxford University Hospitals, reflects on the question of what makes a pro-safety 'culture' within an organisation, and how it can be developed.Kathryn Taylor, Lymphoedema Clinical Nurse Specialist and Service Lead, Community Lymphoedema Service, Manchester Local Care Organisation (kathryn.taylor3@mft.nhs.uk), was runner-up in the Chronic Oedema Nurse of the Year category in the BJN Awards 2021.The extension of roles within the primary care team is one approach recommended to address the shortage of GPs in the UK. A key aspect of care that advanced nurse practitioners (ANPs) can undertake is acute home visits.
To evaluate the perspectives of ANPs performing acute in-hours home visits in primary care.
Qualitative data were gathered in eight semi-structured interviews across a primary care locality, then analysed via a process of thematic analysis.
Three key themes were identified providing holistic care; engaging with the home setting; and negotiating role ambiguity.
Practices wishing to involve ANPs in acute home visits should ensure clear definition and good understanding of the ANP role. Effective interprofessional relationships should be fostered with appropriate mentorship and clinical supervision to support ANPs in optimising their contribution to acute home visits.
Practices wishing to involve ANPs in acute home visits should ensure clear definition and good understanding of the ANP role. https://www.selleckchem.com/products/auranofin.html Effective interprofessional relationships should be fostered with appropriate mentorship and clinical supervision to support ANPs in optimising their contribution to acute home visits.Surgical conditions affecting the abdomen in children can be associated with significant morbidity and mortality if they are not recognised and managed appropriately. It is therefore important that the correct diagnosis is made quickly, and the appropriate intervention is initiated in a timely manner and, if necessary, rapid transfer is made to a specialist paediatric surgical facility. This article provides an overview of the different surgical presentations encountered in children, and outlines the most important points in the history, examination and management of such cases, whether encountered in the emergency setting or in the community. Two illustrative case studies have been included to demonstrate how these emergencies may present in clinical practice.